A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives?

A. A 28-year-old client who has a history of pelvic inflammatory disease: A past history of PID is not an absolute contraindication to combined oral contraceptives; OCPs may in some cases reduce the risk of PID. B. A 32-year-old client who has benign breast disease: Benign breast disease alone is generally not an absolute contraindication to combined oral contraceptives; careful evaluation may be advised depending on findings. C. A 38-year-old client who reports smoking one pack of cigarettes every day: Smoking ≥15 cigarettes/day in women aged 35 or older is a contraindication to combined estrogen-containing contraceptives because of substantially increased cardiovascular risk. D. A 26-year-old client who has migraine headaches at the start of each menstrual cycle: Migraine without aura is not an absolute contraindication for combined OCPs in young women; migraines with aura would be a contraindication because of stroke risk.